Provider Demographics
NPI:1578376422
Name:UPPALURI, CAREENA (DMD)
Entity type:Individual
Prefix:
First Name:CAREENA
Middle Name:
Last Name:UPPALURI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 E SPRINGFIELD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3320
Mailing Address - Country:US
Mailing Address - Phone:508-308-5897
Mailing Address - Fax:
Practice Address - Street 1:26 E SPRINGFIELD ST APT 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-3320
Practice Address - Country:US
Practice Address - Phone:508-308-5897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program